| Metro Imaging Center Plc | |
|
4664 W. Walton Blvd. Waterford MI 48329 | |
| (248) 674-0418 | |
| (248) 674-4518 |
| Full Name | Metro Imaging Center Plc |
|---|---|
| Speciality | Dentist |
| Location | 4664 W. Walton Blvd., Waterford, Michigan |
| Authorized Official Name and Position | Jeffery S. Ingber (PRESIDENT/OWNER) |
| Authorized Official Contact | 2486740418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Imaging Center Plc 4664 W. Walton Blvd. Waterford MI 48329 Ph: (248) 674-0418 | Metro Imaging Center Plc 4664 W. Walton Blvd. Waterford MI 48329 Ph: (248) 674-0418 |
| NPI Number | 1417263120 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 02/15/2011 |
| Medicare PECOS PAC ID | 8123208667 |
|---|---|
| Medicare Enrollment ID | O20140404000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417263120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9846 (Michigan) | Primary |
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